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Article: A sequential comparison on the risk of haemorrhage with different sizes of biopsy needles for stereotactic brain biopsy

TitleA sequential comparison on the risk of haemorrhage with different sizes of biopsy needles for stereotactic brain biopsy
Authors
KeywordsBiopsy needle
Brain biopsy
Complication
Diagnostic yield
Haemorrhage
Neuronavigation
Stereotactic biopsy
Issue Date2014
Citation
Stereotactic and Functional Neurosurgery, 2014, v. 92, n. 3, p. 160-169 How to Cite?
AbstractAim: To compare the risk of postoperative haemorrhage with different sizes of brain biopsy needles. Patients and Method: A cohort of patients using a 2.5-mm outer diameter side-cutting biopsy needle was compared to a subsequent cohort using a 1.8-mm needle of the same type. All data were collected prospectively. A CT scan was done within 12 h after surgery. Any visible haemorrhage at the operated site was documented. Results: From 2007 to 2013, 54 stereotactic brain biopsies (all frameless except for one frame-based) were performed. The 2.5-mm group comprised 29 procedures from 2007 to 2009. The 1.8-mm group comprised the subsequent 25 procedures. The diagnostic yields were 90 and 96% in the 2.5-and the 1.8-mm group, respectively (p = 0.615). Comparing the 2.5-and the 1.8-mm group, haemorrhage was significantly reduced: incidence (72 vs. 40%, p = 0.016); size of haemorrhage (mean 7.2 vs. 2.6 mm, p = 0.002); proportion of haemorrhage size >10 mm (34.5 vs. 4%, p = 0.006). Symptomatic haemorrhage rates were 3.4 and 0.0% in the 2.5-and the 1.8-mm group, respectively (p = 1.00). Conclusion: The 1.8-mm outer diameter needle carried a lower risk of postoperative haemorrhage than the 2.5-mm one, without compromising the diagnostic yield. © 2014 S. Karger AG, Basel.
Persistent Identifierhttp://hdl.handle.net/10722/325275
ISSN
2023 Impact Factor: 1.9
2023 SCImago Journal Rankings: 0.580
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYuen, Jason-
dc.contributor.authorZhu, Cannon X.L.-
dc.contributor.authorChan, Danny T.M.-
dc.contributor.authorNg, Rebecca Y.T.-
dc.contributor.authorNia, Wai-
dc.contributor.authorPoon, Wai Sang-
dc.contributor.authorNg, Ho Keung-
dc.contributor.authorMok, Vincent C.T.-
dc.contributor.authorWong, Laurence K.S.-
dc.contributor.authorCheung, Tom C.Y.-
dc.contributor.authorSiu, Deyond Y.W.-
dc.date.accessioned2023-02-27T07:31:09Z-
dc.date.available2023-02-27T07:31:09Z-
dc.date.issued2014-
dc.identifier.citationStereotactic and Functional Neurosurgery, 2014, v. 92, n. 3, p. 160-169-
dc.identifier.issn1011-6125-
dc.identifier.urihttp://hdl.handle.net/10722/325275-
dc.description.abstractAim: To compare the risk of postoperative haemorrhage with different sizes of brain biopsy needles. Patients and Method: A cohort of patients using a 2.5-mm outer diameter side-cutting biopsy needle was compared to a subsequent cohort using a 1.8-mm needle of the same type. All data were collected prospectively. A CT scan was done within 12 h after surgery. Any visible haemorrhage at the operated site was documented. Results: From 2007 to 2013, 54 stereotactic brain biopsies (all frameless except for one frame-based) were performed. The 2.5-mm group comprised 29 procedures from 2007 to 2009. The 1.8-mm group comprised the subsequent 25 procedures. The diagnostic yields were 90 and 96% in the 2.5-and the 1.8-mm group, respectively (p = 0.615). Comparing the 2.5-and the 1.8-mm group, haemorrhage was significantly reduced: incidence (72 vs. 40%, p = 0.016); size of haemorrhage (mean 7.2 vs. 2.6 mm, p = 0.002); proportion of haemorrhage size >10 mm (34.5 vs. 4%, p = 0.006). Symptomatic haemorrhage rates were 3.4 and 0.0% in the 2.5-and the 1.8-mm group, respectively (p = 1.00). Conclusion: The 1.8-mm outer diameter needle carried a lower risk of postoperative haemorrhage than the 2.5-mm one, without compromising the diagnostic yield. © 2014 S. Karger AG, Basel.-
dc.languageeng-
dc.relation.ispartofStereotactic and Functional Neurosurgery-
dc.subjectBiopsy needle-
dc.subjectBrain biopsy-
dc.subjectComplication-
dc.subjectDiagnostic yield-
dc.subjectHaemorrhage-
dc.subjectNeuronavigation-
dc.subjectStereotactic biopsy-
dc.titleA sequential comparison on the risk of haemorrhage with different sizes of biopsy needles for stereotactic brain biopsy-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1159/000360862-
dc.identifier.pmid24818789-
dc.identifier.scopuseid_2-s2.0-84899782993-
dc.identifier.volume92-
dc.identifier.issue3-
dc.identifier.spage160-
dc.identifier.epage169-
dc.identifier.eissn1423-0372-
dc.identifier.isiWOS:000338411800005-

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